1144394933 NPI number — MORISA SCHIFF MAYER MD PC

Table of content: (NPI 1144394933)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144394933 NPI number — MORISA SCHIFF MAYER MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MORISA SCHIFF MAYER MD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MORISA SCHIFF MAYER MD
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144394933
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
56 BOGART AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PORT WASHINGTON
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11050-3320
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-883-8277
Provider Business Mailing Address Fax Number:
516-883-8227

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
123 W 79TH ST APT 207
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10024-6472
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-875-1138
Provider Business Practice Location Address Fax Number:
516-883-8227
Provider Enumeration Date:
11/20/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SCHIFF MAYER
Authorized Official First Name:
MORISA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
516-883-8277

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  169693 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)